It may be a new nomenclature – odious to some — but it is not a new phenomenon, far from it.
In Sol Sanders’ Mexico: Chaos on our doorstep, 1989, he records how Los Angeles medical services senior officials reported their budgets for prenatal extension clinics was being impacted by growing numbers of Mexican illegal women birthing their children from free. They came then temporarily, they reported, to take advantage of free and better services not available in Mexico, and then returned home, waiting for the time, then, when at 17 under U.S. law their offsprings could choose his or her citizenship. In fact, the practice was even older than that: Sanders’ researcher and translator for the book had a teenage son, whom she had given birth to in California even though she was a Mexican citizen and resident at the time.
Like all the other “undocumented immigrants”, the statistics on how many children are born of illegal migrant mothers – either those in permanent residence or hospital-temporaries – are going to be vague. They will be exaggerated in some quarters and diminished in others for obvious reasons. They media is throwing around 300,000 annually. But since we are even skeptical of the current 11-million figure being tossed about by the media as the number of undocumented here, we wonder.
There, again, there are vast complications: what part of the mothers are have overstayed legitimate visas. [You get a stamp at the immigration cubicle, told to report – if when and and how your presence becomes a real question. But many, probably most, do not report.] And in the past, many of not most of them ha not been Mexican or Central American citizens, but Europeans, Middle Easterners and Asians. That would seem to be all the more so these days with many more migrants coming from those parts of the world – excluding Europe – than in the past.
It is here, of course, that Obamacare, and the growing difficulties of Medicaid and Mtdicare. collide with the problems of the undocumented, perhaps even more than the accusation that the illegals are using other parts of the social welfare system. Hospitals, some supposedly nonprofit but gobbling up private practices at high prices in order to fund their own probably extravagant officials’ salaries and rising medical costs, are carrying a heavy load through the Emergency Room open-doors.
We note a small hospital, probably overexpanded in the past, in a small Virginia village we know, keeps a doctor and nurse on 24-hour standby although rarely used except for the occasional traffic accident or heart attack, together with standby ambulance and first providers.
All this only begins to suggest the real “transformation” which is going to be needed come a new presidency in 2016. The Obama Administration has talked grandiloquently of curing the nation’s long term problems, but there is no reason to believe that Obamacare – whatever its qualities – has done much to attack such basic issues in the medical system. And the growing insurance premiums and increasingly whopping deduction provisos certainly add weight to our argument.
Mr. President 2017, we are waiting with baited breath!
Tag Archives: Los Angeles maternity care